摘要
目的探讨腹腔镜外科技术在胃肠道肿瘤手术中的应用。方法经电视腹腔镜行胃肠道肿瘤手术１８例，其中右半结肠切除术４例，横结肠癌根治术３例，乙状结肠癌根治术５例，乙状结肠癌姑息切除术并肝转移癌电凝固化１例，胃癌术后复发转移行探查活检１例，胃巨大恶性淋巴瘤行探查活检１例，晚期回肠癌行小肠侧侧吻合术１例，乙状结肠腺瘤切除术２例。结果均获成功，无中转开腹，手术时间平均１６５．０分钟。术后平均３１．２小时胃肠功能恢复，无并发症发生，术后平均住院８．２天。１３例切除肿瘤的结肠癌术后随访２月～３０月，仅１例横结肠癌术后２３月出现肺转移。结论腹腔镜胃肠肿瘤手术损伤小、恢复快、胃肠干扰小、术后疼痛轻，值得进一步探索开展。
Objective To investigat the use of laparoscopy in gastrointestinal
tumors. Method 18 cases of gastrointestinal tumors had been done by laparoscopy. Patient's
age ranged from 16～74 years, 10 were male and 8 were female. The procedures involved in
right hemicolectomy(n=4), transverse colon cancer radical resection(n=3), sigmoid colon cancer
radical resection(n=5),sigmoid colon cancer palliative resection and electrocautery for liver
metastatic focus (n=1), colon portion resection for adenoma(n=2), small bowel anastomosis(n=1)
and abdominal explore and biopsy(n=2).Results All cases were successfully done, and could
walk and take fluids on the second postoperative day. The average length of pastoperative stay
were 8.2 days. No paitient required conversion to open laparotomy. There were no
complication.Conclusion Laparoscopic gastrointestinal procedues for gastrointestinal tumors
can be carried out safely and effectively with decreased postoperative pain and repid recoverry.
